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TAOS RECOVERY INC. NPI 1790791697


NPI Information

NPI: 1790791697
Provider Name: TAOS RECOVERY, INC.

Doing Business As: VISTA TAOS RENEWAL CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 32D2071272

Address:
259 BLUEBERRY HILL RD
EL PRADO, NM
ZIP 87529
Phone: (575) 758-5858
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TAOS RECOVERY, INC. is a substance abuse rehabilitation facility in El Prado, NM. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. TAOS RECOVERY, INC. NPI is 1790791697. The provider is registered as an organization entity type.
The provider Is Doing Business As Vista Taos Renewal Center.

The provider's business location address is:

259 BLUEBERRY HILL RD
EL PRADO, NM
ZIP 87529-305
Phone: (575) 758-5858

The provider's authorized official is Blake Browder .
The authorized official title is President and has the following contact phone number (575) 758-5858.

The CLIA number assigned to this NPI record is 32D2071272 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 5/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility5633NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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